Basic Information
| Provider Information | |||||||||
| NPI: | 1750602140 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCCURRY | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1801 HICKMAN RD | ||||||||
| Address2: | |||||||||
| City: | DES MOINES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 503141505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152825640 | ||||||||
| FaxNumber: | 5152822332 | ||||||||
| Practice Location | |||||||||
| Address1: | 1801 HICKMAN RD | ||||||||
| Address2: | |||||||||
| City: | DES MOINES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 503141505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152825640 | ||||||||
| FaxNumber: | 5152822332 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2010 | ||||||||
| LastUpdateDate: | 05/10/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 4257 | IA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.